scholarly journals Heart on the left, diaphragm on the right: A case of congenital diaphragmatic eventration

2021 ◽  
Vol 9 (11) ◽  
Author(s):  
Sidra Naz ◽  
Vikash Jaiswal ◽  
Amey Joshi ◽  
Furqan Ahmad Jarullah ◽  
Esha Jain ◽  
...  
Keyword(s):  
Diaphragmatic Eventration ◽  
Left Diaphragm ◽  
The Right

scholarly journals SURGICAL TREATMENT OF ANOMALIES OF FIXATION OF THE COLON IN CHILDREN

2020 ◽  
Vol 19 (4) ◽  
pp. 32-36
Author(s):  
O. Bodnar
Keyword(s):  
Congenital Anomaly ◽  
Surgical Treatment ◽  
Clinical Symptoms ◽  
Clinical Manifestations ◽  
Results Of Treatment ◽  
Left Diaphragm ◽  
Comparative Group ◽  
The Right ◽  
Paroxysmal Pain ◽  
Over Time

Pyrrhic disease is a congenital anomaly that occurs during embryogenesis due to the fixation of the splenic angle of the colon by a short and highly located left transverse-diaphragmatic ligament, creating a sharp bend and forming a "wellbore". In this case the passage of feces on a cross colon becomes difficult, there is also its sagging to a small pelvis. This pathology is characterized by paroxysmal pain (aggravated by exercise and after eating) and prolonged constipation, which progresses over time. Hilaiditis syndrome is a rather rare pathology in which there is an interposition of the hepatic angle of the colon between the liver and the diaphragm. There are permanent and intermittent localizations. The work generalizes the experience of evaluation of clinical manifestations and remote results of treatment of children with chronic colostasis caused by fixation abnormalities of the colon. 58 children were detected to have Payre’s disease, with Cyilaiditi’s syndrome – 3 children. 24 patients with Payre’s disease and 2 Cyilaiditi’s syndrome were operated on. To assess the effectiveness of surgery, children were divided into two groups: I group – comparative and II group - experienced. In I group (n=12 children) – the analysis of surgical treatment was performed traditionally. In II group (n=14 children) – the analysis of surgical treatment was conducted by means of the methods proposed. Traditional surgical treatment of Payre’s disease in children was followed by relapse of chronic constipation in 45,45%, pain in 50%, flatulence in 33,33% and failure of the ileocoecal closing apparatus in 100% of children. Unsatisfactory outcomes of surgical treatment of Cyilaiditi’s syndrome was observed in a child from the comparative group. Relapse of clinical symptoms to a lesser degree than before the surgery was found in 1 child from the experienced group. To treat Payre’s disease the following operation is proposed: intersection of the left diaphragm-colon ligament, resection of transverse colon and colofixation of the left bending of the colon. To treat Cyilaiditi’s syndrome (in case of dolichoascendocolon) the following operation is suggested: hepatopexy, resection of the right bending of the colon with ascending transversal anastomosis “end to end”, fixing of right bending of the colon. Their reasonability is being proved.

scholarly journals Bilateral congenital eventration of diaphragm: keep in mind, the other side

2018 ◽  
pp. bcr-2018-226051
Author(s):  
Avadhesh Joshi ◽  
Manish Kumar ◽  
Abhilipsa Acharya
Keyword(s):  
Surgical Repair ◽  
The Other ◽  
Diaphragmatic Eventration ◽  
Diaphragmatic Muscle ◽  
Eventration Of Diaphragm ◽  
The Right

Eventration of diaphragm is an uncommon disorder in which diaphragmatic muscle is replaced by fibroelastic tissue, either partially or completely. Bilateral eventration is even rarer. We present a case of bilateral eventration of diaphragm in newborn with a fibroelastic sac on left side and diaphragmatic eventration with good muscular lips on right side. The right-sided diaphragmatic eventration was not evident initially, but manifested after surgical repair of the left-sided eventration.

A Giant Intradiaphragmatic Bronchogenic Cyst: Case Report and Literature Review

2017 ◽  
Vol 103 (1_suppl) ◽  
pp. S25-S27 ◽  
Author(s):  
Xin Gao ◽  
Min Zhai ◽  
Haitao Zhang ◽  
Yunliang Wang ◽  
Jin Zhou
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Chest Pain ◽  
Literature Review ◽  
Bronchogenic Cyst ◽  
Early Embryogenesis ◽  
Congenital Lesions ◽  
Left Diaphragm ◽  
The Right ◽  
Bronchogenic Cysts

Bronchogenic cysts are congenital lesions developing during early embryogenesis. The intradiaphragmatic location is extremely rare. We present a giant bronchogenic cyst arising from the left crus of diaphragm. Based on our literature review results, intradiaphragmatic bronchogenic cysts have the following characteristics: 1) they are more common in female patients; 2) the patients are usually asymptomatic, or present with symptoms of chest pain, abdominal pain, and hiccups; 3) the cysts located in the left diaphragm are more than those in the right diaphragm, most of which are located in the area of the left diaphragm crus.

scholarly journals Partial diaphragmatic eventration and liver herniation

2014 ◽  
Vol 1 (2) ◽  
pp. 41
Author(s):  
Emily Morris ◽  
Duncan G. Fullerton ◽  
Gerhard C. Bockeler ◽  
Dilip Nazareth
Keyword(s):  
Case Reports ◽  
Lung Mass ◽  
X Ray ◽  
Diaphragmatic Eventration ◽  
Liver Herniation ◽  
Chest X Ray ◽  
The Right

This case reports a 54-year-old lady with a chest X-ray showing a lung mass that was later identified to be eventration or abnormal elevation of a part of the diaphragm. This article discusses eventration of the right diaphragm and liver herniation, that although relatively rare, has characteristic radiological appearances.

Minimally Invasive Procedures for Diagnosis of Traumatic Right Diaphragmatic Tears: A Method for Correct Diagnosis in Selected Patients

2007 ◽  
Vol 73 (4) ◽  
pp. 388-392 ◽  
Author(s):  
Yoav Mintz ◽  
David W. Easter ◽  
Uzi Izhar ◽  
Yair Edden ◽  
Mark A. Talamini ◽  
...  
Keyword(s):  
Diagnostic Laparoscopy ◽  
Motor Vehicle ◽  
Correct Diagnosis ◽  
Traumatic Rupture ◽  
Respiratory Compromise ◽  
Vehicle Accidents ◽  
Left Diaphragm ◽  
Key Factor ◽  
The Right ◽  
High Index Of Suspicion

Traumatic rupture of the diaphragm is no longer uncommon. Because of the increasing frequency of motor vehicle accidents, the rate of blunt trauma to the chest and abdomen, which are the most common causes of diaphragmatic rupture, is increased as well. However, the diagnosis is frequently missed or delayed because of the lack of sensitivity and specificity of imaging modalities. Diagnostic laparoscopy is considered a standard tool for penetrating injuries to the left diaphragm and is widely practiced in selected cases. Right diaphragmatic tears, however, are more difficult to diagnose because of the sealing effect of the liver. Blunt abdominal trauma can cause large right diaphragmatic tears, causing liver incarcerations and respiratory compromise, therefore demanding the need for a comparable diagnostic tool. A high index of suspicion, together with knowledge of the mechanism of trauma, is the key factor for the correct diagnosis. Once the diagnosis has been considered, diagnostic laparoscopy and/or diagnostic thoracoscopy should be performed to confirm or rule out this injury. Factors suggestive of a right diaphragmatic tear include newly or progressive elevation of the right diaphragm and respiratory distress without underlining lung injury. The timing of the procedure should be in accordance with the hemodynamic and respiratory status of the patient. This procedure should be performed semielectively if there are no other indications for surgical intervention.

scholarly journals Diaphragmatic eventration unusual presentation: a novel thoracoabdominal compartment syndrome case

2019 ◽  
Vol 12 (6) ◽  
pp. e229475
Author(s):  
Abdulaziz Shaher ◽  
Abdulrahman Mohmmed Alqahtani ◽  
Khalid N Sinnah ◽  
Shaher Mousa Al Bakheet
Keyword(s):  
Compartment Syndrome ◽  
Adult Population ◽  
Tension Pneumothorax ◽  
Abdominal Pressure ◽  
Pathophysiological Mechanism ◽  
Lung Collapse ◽  
Diaphragmatic Eventration ◽  
Mediastinal Shift ◽  
The Right ◽  
Learning Points

Diaphragmatic eventration is a rare entity in the adult population, and usually asymptomatic 1 ; our case is a young man with severe right-sided diaphragmatic eventration with huge dilated colon that has compromised the right hemithorax and caused complete lung collapse and mediastinal shift similar to tension pneumothorax picture with haemodynamic alteration. A single similar case report had been published but did not shed the light on the accurate description of the pathophysiological mechanism of the disease. We believe that such a high abdominal pressure that has transmitted to the thoracic cavity due to the pliable diaphragm causing such a derangment in both the anatomy and the physiology deserves reporting and we think that the term ‘thoracoabdominal compartment syndrome’ describes it accurately, so we discuss some learning points from our case and things that could have been done better.

scholarly journals SPONTANEOUS RUPTURE OF THE RIGHT CONGENITAL DIAPHRAGMATIC EVENTRATION ON THE RIGHT SUBJECTED TO SURGICAL CORRECTION IN A CHILD WITH MEGADOLICOCOLON

2021 ◽  
Vol 11 (3(41)) ◽  
pp. 55-61
Author(s):  
S. Babuci ◽  
O. Gorbatyuk ◽  
V. Eremia ◽  
V. Petrovici
Keyword(s):  
Spontaneous Rupture ◽  
Rare Complication ◽  
Abdominal Distension ◽  
Clinical Situation ◽  
Suture Line ◽  
Surgical Correction ◽  
Fibrin Adhesive ◽  
Diaphragmatic Eventration ◽  
Thoracic Approach ◽  
The Right

Спонтанний розрив гемідіафрагми у випадках вродженої діафрагмальної евентрації зустрічається вкрай рідко, у літературі повідомляють про унікальні випадки.In this context, the authors present the case of an 8-year-old child who was hospitalized in the coloproctology service for abdominal pain, lack of stool for more than 7 days, pronounced abdominal distension. The child suffers from Down's disease. In 2017, he was occasionally diagnosed with right diaphragmatic eventration and underwent surgical correction by thoracic approach. After a thorough evaluation, with signs suggestive of diaphragmatic hernia on the right, the child underwent surgery, intraoperatively the rupture of the right hemidiaphragm was found with intrathoracic ascension of the malrotated intestinal loops, transverse colon and omentum. The repair of the diaphragmatic eventration complicated by rupture was used using the “overcoat” folding procedure, on the suture line being carefully applied a collagen foil covered with components of the fibrin adhesive. The postoperative period passed without complications.Conclusion. Spontaneous rupture of the diaphragm is a rare complication in children with diaphragmatic eventration, especially on the right side, in this case obstruction of the malformative colon ascended intrathoracically with progressive dilation of the intestinal loops being responsible for distension with gradual thinning of the hemidiaphragm sac resulting malformation in diaphragmatic rupture with herniation and progressive obliteration of the pleural space. The case of rupture of the diaphragmatic eventration associated with megadolicocolon confirms that the respiratory symptoms characteristic of this clinical situation may be overshadowed by the predominance of signs of intestinal obstruction, without leading to sudden progressive clinical deterioration, which proved to be a misleading moment in diagnosis. certainty of this serious complication rarity.

scholarly journals Ultrasound-guided perioperative management of 28-month-old patient with congenital diaphragmatic eventration

2019 ◽  
Vol 7 ◽  
pp. 2050313X1982773
Author(s):  
Hyemin Kang ◽  
Sangmin Lee ◽  
Hyunwoo Park ◽  
Yeojung Kim ◽  
YoungKwon Ko ◽  
...  
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Perioperative Management ◽  
Anesthetic Management ◽  
Male Infant ◽  
Lung Ultrasonography ◽  
Ultrasound Guided ◽  
Distal Ulna ◽  
Diaphragmatic Eventration ◽  
The Right

Diaphragmatic eventration is a rare anomaly. When patients with this condition undergo general anesthesia, anesthetic management should be performed with particular care owing to the risk of diaphragmatic rupture. Such a rupture can be perioperatively diagnosed using multiple tools including lung ultrasonography. This case report describes the anesthetic management of a male infant with osteochondroma in the distal ulna, presenting with diaphragmatic eventration on the right side.

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